目的 构建适合我国三级医院护士的灾害护理分层培训方案。 方法 在国际护士协会灾害护理能力框架的基础上，基于文献研究构建三级医院临床护士灾害护理分层培训方案，选取灾害护理相关领域的专家进行2轮Delphi专家函询。 结果 15名专家参与2轮专家函询，问卷回收率均为100%。专家权威系数为0.83，2轮专家意见的肯德尔协调系数分别为0.254和0.259（均P<0.001）。最终形成的三级医院临床护士灾害护理分层培训方案包含灾害护理基础能力培训和专业能力培训2个层次，包括培训对象、培训目标、培训内容、培训安排、培训师资及考核评价6个方面。 结论 本研究构建的培训方案具有科学性和可靠性，可为三级医院应急护理救援队伍的建立、分层培训、管理及考核提供参考。

Objective To develop a hierarchical training program for disaster nursing for nurses in tertiary hospitals in China. Methods Based on the framework of disaster nursing capacity of International Nurses Association，a hierarchical training program for clinical nurses in tertiary hospitals was developed after literature research. Experts in disaster nursing fields were invited for two rounds of Delphi expert consultation. Results A total of 15 experts participated in two rounds of expert consultation，with questionnaire response rate of 100%. The expert authority coefficient was 0.83，and the Kendall coordination coefficients for two rounds of expert opinions were 0.254 and 0.259（both P<0.001），respectively. The final hierarchical training plan for clinical nurses in tertiary hospitals in disaster nursing included two levels：basic disaster nursing ability training and professional disaster nursing ability training，which consisted of target group for training，training objectives，training content，training arrangements，training faculty，and evaluation. Conclusion The training plan constructed in this study is scientific and reliable，and can provide reference for the establishment，hierarchical training，management，and assessment of emergency nursing and rescue teams in tertiary hospitals.